Basal energy production rate and substrate use in stable cirrhotic patients

✍ Scribed by Manuela Merli; Oliviero Riggio; Adriana Romiti; Franco Ariosto; Lucio Mango; Giorgio Pinto; Massimiliano Savioli; Livio Capocaccia

• Book ID: 102849695
• Publisher: John Wiley and Sons
• Year: 1990
• Tongue: English
• Weight: 745 KB
• Volume: 12
• Category: Article
• ISSN: 0270-9139
• DOI: 10.1002/hep.1840120117

✦ Synopsis

Patients with cirrhosis present a number of hormonal and metabolic alterations. Glucose intolerance, hyperinsulinemia and insulin resistance (1, 2), elevated free fatty acids (FFA) and glycerol plasma levels (3), increased circulating levels of glucagon (4), catecholamines (5) and other counter-regulatory hormones (1) are all characteristic features of patients with cirrhosis. This pattern may cause an increase in energy expenditure and influence the amount of fat, carbohydrate and